| NPI | 1346598679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN240942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 680211) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-03-08 |